Glass, Jeffrey
Glass, Jeffrey is an sole proprietor health care provider with primary practice located at 12810 Hillcrest Rd Suite B220, Dallas TX 75230-1525. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Glass, Jeffrey can be contacted via phone (214) 696-9270.Contact Information
Primary practice address
12810 Hillcrest Rd Suite B220
Dallas TX 75230-1525
Phone: (214) 696-9270
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G4298 | Texas |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | G4298 | Texas |
Profile Details
| NPI number | 1144300674 |
|---|---|
| LBN Legal business name | Glass, Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 12th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144300674 | NPPES |
| Texas | MEDICAID | 1002735-01 |
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